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James E. Rauh - Havana Lincoln, LLC T t� 1 1 _ .. . _----- — ----A. . --�A I A, f � 4 1 � � City of Miami Beach Office of the City Clerk 0 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City Manager or any city board or committee;or any action, decision or recommendation of any city personnel during the time period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term"Lobbyists"has specific exclusions. Please refer to Ordinance 2004-3435. Rauh James E. I NAME OF LOBBYIST: (Last) (First) (M.I) Terminello&Terminello,P.A. 1111 Lincoln Road,Suite 400,Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786)276-2343 (305)448-5566 jrauh @terminello.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this.office if your•contact information changes:address,phone, a-mi address. 1. LOBBYIST RETAINED BY: Havana Lincoln,LLC NAME OF PRINCIPAUCLiENT: V&E Restaurants 412 Espanola Way Miami Beach, Florida 33139 _ BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)721-5603 earicamposdevine @verestaurants.com TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) FIII out this section if principal Is a Corporation,Partnership or Trust[Section 2482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:Eduardo Araoz,as Managing member. • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit"B" 1l.SPECIFIC.LOBB. ISSUE Appearance to Affirm Understanding of Conditions under BOA File No.2914 for property at 819 Lincoln Road. Issue to be lobbied(Describe in detail): Ill.CITY AGENCIES/INDIVIDUALS.:TO:'BE_.L4BBIED: Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the lobbyist has entered Into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the c!ty to the present date,statin the eneral nature of the subject contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied Board of Adjustment X Planning Director and Planning Staff X Pursuant to City Code Section 2-482(8)Every registrant shall be required to state the extent of any business,financial,familial or professional relationship,or other relationship giving rise to an appearance of an Impropriety,with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2482 Any Financial,Familial or Professional Relationship :f ' - � k_;::I y , I i ' . i I C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc t..kubvIbxuiarnauwppuaialLOCanmicrosonwvmaows\temporary mtemeT ritesiuontent.vutlooKtt3,iLUUL)UHXLODDYISt Keglstration Formrevised 5-30-2012.doc F:\CLEI iistration Form.doc Revised 04/27/2012 LJ. < j $ 9 City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 ,Fax:305.673.7254 LOBBYIST NAME: _James E. Rauh, Esq. I understand that no later than February 28 of each year, I must file the following form, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) LOBBYIST EXPENDITURE AND COMPENSATION FORM Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, or I am no longer lobbying on that issue or for that principal, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal) who falls to timely file a Statement and in addition to any other penalties which may be Imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. Signatu e• Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc I s EXHIBIT"B" DISCLOSURE OF INTEREST HAVANA LINCOLN,LLC Name and Address % of Ownership Eduardo Araoz 50% 412 Espanola Way Miami Beach,Florida 33139 Jose Simon 50% 412 Espanola Way Miami Beach,Florida 33139 I